Treatment of Penile Strangulation Due To Metallic Objects at Surin Hospital

Authors

  • Shusit Parnitvitidkun

Keywords:

Penile strangulation, metal constricting object, management

Abstract

Objective: To report the management of penile strangulation caused by placement of metal constricting
objects.
Method: From 2005 to 2015, there were 3 patients presenting with strangulation of penis from metal
constricting objects, including nut, ring and pipe. All objects were removed from patients without complications.
Conclusions: We propose a three-step process: Provide general anesthesia; protect the penile shaft with brain
spatula while fixing the constricting object with a gripping lock; and use proper cutting devices.

References

1. Gauthier M. Strangulating agents used on the penis, an
important cause of gangrene. J Med Chir Pharmacol (Paris)
1755;3:358.

2. Singh B, Kim H, Wax SH. Strangulation of glans penis by hair.
Urology 1978;11;170-72.

3. Sing I, Joshi MK, Jaura MS. Strangulation of penis by a ball
bearing device. J Sexual Med 2010;7:3793-7.

4. Kimber RM, Mellon JK. The role of special cutting equipment
and corporeal aspiration in the treatment of penile
incarceration with a barbell retaining collar. J Urol 2004;172:
975

5. Noh J, Kang TW, Heo T, Kwon DD, Park K, Ryu SB. Penile
strangulation treated with the modified string method.
Urology 2004;64:591.

6. Horstmann M, Mattsson B, Padevit C, Gloyer M, Hotz T, John
H. Successful removal of a 3.6-cm long metal band used as
a penile constriction ring. J Sexual Med 2010;7:3798-801

7. Sathesh-Kumar T, Hanna-Jumma S. De’Zoysa N, Saleemi A.
Genitalia strangulation-fireman to the rescue! Ann R Coll
Surg Engl 2009;91:W15-W16

8. Baruah S, Bagchi P, Barua S, Deka P.An innovative surgical
technique for treating penile incarceration injury caused by
heavy metallic ring. Indian J Urol 2009;25:267-8.

9. Guler G, Sofikerim M, Ugur F, Aksu R. Intravenous dexmedetomidine
for treatment of intraoperative penile erection.
Int Urol Nephrol 2011;44:353-7.

10. Prakash S, Sharma S, Miglani S, Gogia AR. Mangement of
intraoperative penile erection with salbutamol aerosol J
Anaesthesiol Clin Pharm 2012;28:402-3.

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Published

2019-11-19

How to Cite

1.
Parnitvitidkun S. Treatment of Penile Strangulation Due To Metallic Objects at Surin Hospital. Thai J Surg [Internet]. 2019 Nov. 19 [cited 2024 Apr. 26];37(3). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/225829

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Section

Original Articles